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Report (15) kECEIVED APR 2 4 2017 CITY OF TIGARD BUILDING DIVISION HAZARDOUS MATERIALS SURVEY I For Fowler Middle School I Produced For: Day CPM Services Tigard-Tualatin Public School District t RP Ck> 1/VaiPttet V--z C7- SITE COPY I K E LSAY Environmental Consulting 833 SE Main St —Suite 410 Portland, Oregon 97214 April 2017 FOWLER MIDDLE SCHOOL HAZARDOUS MATERIALS SURVEY INDEX ' Fowler Middle School Modernization Hazardous Materials Renovation Survey ' prepared for Day CPM Services and Tigard-Tualatin Public School District 6960 SW Sandburg St I Tigard, OR 97223 For the ' Fowler Middle School Renovation Project 10865 SW Walnut St I Tigard, OR 97223 This report is for the exclusive use of the client and is not to be photographed, photocopied, or similarly reproduced in total or in part without the expressed written consent of the client. 1 KELSAY ' Environmental Consulting 833 SE Main St—Suite 410 Portland, Oregon 97202 1 April 2017 1 KELSAY ENVIRONMENTAL CLIENT: DAY CPM/TIGARD-TUALATIN SD FOWLER MIDDLE SCHOOL HAZARDOUS MATERIALS SURVEY INDEX Asbestos Inspection Scope of Work/Signature Page Inspection Summary ' ACBMQ uantities Table 1 Discussion of Findings Asbestos Sampling Inventory Table 2 Lead Inspection Summary ' Lead Paint Inventory Table 3 ' PCB Ballast/Mercury Bulb/Mercury Tartan Flooring Inspection Summary ' Mercury TCLP Sampling Inventory Table 4 Asbestos Location Drawing Photos of Asbestos Materials ' Laboratory Reports/Chain of Custody 1 1 1 1 KELSAY ENVIRONMENTAL CLIENT: DAY CPM/TIGARD-TUALATIN SD FOWLER MIDDLE SCHOOL HAZARDOUS MATERIALS SURVEY GENERAL INFORMATION SURVEY SCOPE Kelsay Project No. 7083.00 ' Kelsay Environmental provided a demolition asbestos and lead-paint survey and compiled a report following the scope of work presented below. SCOPE OF WORK t 1. Inspect and sample suspect asbestos-containing building materials (ACBM) in accordance with state and federal regulations (OSHA and AHERA). ' 2. Collect paint chip samples of various painted surfaces to screen for lead containing paint. 3. Bulk samples to be analyzed for asbestos by PLM (Polarized Light Microscopy) by an accredited NVLAP Laboratory. 4. Create a report that outlines the presence, location, quantity, and condition of ACBMs. The final ' report will have sample results and recommendations for abatement, drawings of asbestos locations, quantities of asbestos materials and budgetary cost estimates for abatement. CERTIFICATION ' Kelsay Environmental has conducted a physical inspection of the building and compiled this report consistent with the survey scope and certifies that the information is correct and accurate within the standards of professional quality and contractual obligations. Kevin Rohrer Mitchel Elliott Certified Inspector Certified Inspector AHERA Cert#151700 AHERA Cert#160790 **-1.--)4;##'2. SignatureSignature t KELSAY ENVIRONMENTAL CLIENT: DAY CPM /TIGARD-TUALATIN SD FOWLER MIDDLE SCHOOL MODERNIZATION HAZARDOUS MATERIALS SURVEY HAZARDOUS MATERIALS INSPECTION SUMMARY Kelsay Environmental conducted a hazardous materials survey at the following site: ' Fowler Middle School Modernization Project 10865 SW Walnut St I Tigard, OR 97223 ' The survey team consisted of Kevin Rohrer and Mitchel Elliott (AHERA Accredited Inspectors). All sampling was conducted in accordance with AHERA and Occupational Safety and Health Administration ' (OSHA) testing protocol. The survey characterized the extent of suspect asbestos-containing materials throughout the entire structure. This survey was performed to facilitate a remodel/renovation of the current structure as well as providing seismic upgrades. The renovation scope consisted of 4 areas: The theater room/forum, the main office, the science wing, and the shop room/computer lab. Interior building materials consisted of but are not limited to: wood framing, plaster, gypsum wallboard, vinyl floor tile, concrete, and glued- on/lay-in ceiling tiles. ' There may be asbestos containing building materials concealed within wall cavities or other areas that were inaccessible. No previous surveys were available or presented at the time of this survey, however ' information from the districts Management Plan was used during the preparation of this report. Lead paint chip sampling was conducted as a screening and all samples returned positive results. Interior areas also contain lead paint and the surfaces were in moderate to good condition with only small areas of chipping or damaged paint. Compliance with OSHA regulation 1926.62 for lead coated surfaces is required. In addition, none of the activities currently identified represent lead abatement and waste ' from the demolition/renovation may go into the normal waste stream. Results are summarized in Lead section below. A screening for PCB-containing ballasts was conducted. No PCB ballasts were found and information from the district indicated that they had been removed and replaced. Mercury is known to exist in the Tartan flooring of the Upper Gymnasium and therefore must be removed in accordance with OSHA/DEQ regulations which require a negative pressure enclosure and ' appropriate Personal Protective Equipment for the hazard. A Toxicity Characteristic Leaching Procedure (TCLP) was conducted which determined that the Tartan flooring material must be disposed of as a hazardous material in an EPA Subtitle C landfill. Results can be found in Table 4 of this report. ' Fluorescent light tubes contain mercuryand should be disposed observing regulations and or recycled. g The following table summarizes Kelsay Environmental's findings of positive asbestos containing materials and their quantities discovered during the survey work at the site. In addition, the table has ' approximated costing for each item. All other materials at the site tested negative and the results for all tested materials can be found in the asbestos materials inventory in Table 2 of this report. KELSAY ENVIRONMENTAL CLIENT: DAY CPM /TIGARD-TUALATIN SD FOWLER MIDDLE SCHOOL MODERNIZATION HAZARDOUS MATERIALS SURVEY ITABLE 1 QUANTIFICATIONS AND COST ESTIMATES I FOWLER MIDDLE SCHOOL Abatement Cost Quantity- Estimate Known Known or Suspect Visual Unit of Abatement Asbestos (ACBMs) Location Estimate Measure Cost./Unit Materials I Vinyl Floor Tile and Main Entrance, 1,125 SF $4.00 $4,500.00 Mastic Science Office 23A Black Transite Board Science Office 23A 80 SF $12.00 $960.00 I Countertop Tartan Sheet Flooring Upper Gymnasium 7,400 SF $12.00 $88,800.00 Subtotal $94,260.00 IContingency 10% $9,460.00 875—front I250-science Total $ 103,720.00 DISCUSSION OF FINDINGS I Vinyl Floor Tile and Associated Mastics I Vinyl Tile Flooring tested positive for asbestos in multiple locations(See table 5 and plan drawings). Vinyl floor tile returned mixed results with most all tile and/or mastic testing positive for asbestos.Vinyl tile is a non-friable material that becomes friable during abatement and should be removed under a full- ' containment negative pressure enclosure by a certified abatement contractor prior to renovation or disturbance and disposed of per DEQ regulations (OAR 340-032-5650). IBlack Countertops Two countertops (and back walls)were identified to have asbestos in the science office area—one in the I storage room sink area and the other as the main counter in the room. All other counters were wood and/or synthetic material and did not test positive for asbestos. Activities which may cause a fiber release such as sanding or grinding the surfaces are to be done in accordance with DEQ regulations (OAR I 340-032-5650) which require a negative pressure enclosure. This material was observed in good condition. I Negative Materials List The following list summarizes the negative materials found at the site. The materials may be considered non-asbestos materials and are not subject to the DEQ/EPA or OSHA rules for asbestos. The materials Imay have tested negative during the current hazardous materials survey, previously tested negative for asbestos or both. INegative Materials include are but are not limited to: Gypsum wall board and joint compound, lay-in ceiling tiles, glued-on ceiling tiles and associated mastic, hard fittings, built-up roofing, cove base and I associated mastic, and mastic behind wood paneling and fiber board that lined the walls. I KELSAY ENVIRONMENTAL CLIENT: DAY CPM/TIGARD-TUALATIN SD FOWLER MIDDLE SCHOOL MODERNIZATION HAZARDOUS MATERIALS SURVEY I TABLE 2 I ASBESTOS BULK SAMPLING INVENTORY FOWLER MIDDLE SCHOOL I NAD: No Asbestos Detected CH: Chrysotile Asbestos Sample No. Material Description Location Results CY by weight) 7083.00-001 Gypsum/Joint Compound Corridor by Rm 3/Atrium NAD 7083.00-002 White Spotted 12" Room 25 NAD I VCT/Glue 7083.00-003 Tan 12"VCT/Glue Science Corridor NAD I 7083.00-004 Gypsum/Joint Compound Woodshop in Maker's Space NAD 7083.00-005 Gypsum/Joint Compound Science Corridor NAD 7083.00-006 Cove Base/Mastic Top of Theater Area NAD I 7083.00-007 Gypsum/Joint Compound Bottom Theater Area NAD 7083.00-008 Sealant Behind Wooden Top of Theater Area NAD Acoustical Wall I 7083.00-009 Brown Mastic Behind Theater Bottom Back Wall NAD White Boards 7083.00-010 Brown Mastic Behind Theater Bottom Back Wall NAD I White Boards 7083.00-011 White Floor Tile/Mastic Main Entry—West Wall Floor Tile: NAD Tan/Black Mastic: 3%CH I 7083.00-012 1' Ceiling Tile/Mastic Main Entry—West Wall NAD 7083.00-013 Hard Fitting on Domestic Fire Riser Room NAD Line I 7083.00-014 Gypsum/Joint Compound Front Office NAD 7083.00-015 Gypsum/Joint Compound Front Office NAD 7083.00-016 White Sheet Flooring Nurse's Office NAD I 7083.00-017 White Sheet Flooring Nurse's Office NAD 7083.00-018 2x4 Lay-In Ceiling Tile Front Office NAD 7083.00-019 White Spotted 12" Floor Science Wing—Room 27 NAD I Tile/Mastic 7083.00-020 Tan 12" Floor Tile/Mastic Science Wing Corridor NAD 7083.00-021 Brown 12" Floor Tile/Black Science Wing—23A Tile: 2%CH I Mastic Mastic: Insufficient Sample 7083.00-022 Brown 12" Floor Tile/Black Science Wing—23A Tile: Positive Stop Mastic Mastic:4%CH I 7083.00-023 2x4 Lay-In Ceiling Tile Science Wing—23A NAD 7083.00-024 Textured Surfacing On Wall Book Storage Closet NAD 7083.00-025 Textured Surfacing On Wall Book Storage Closet NAD I 7083.00-026 Textured Surfacing On Wall Book Storage Closet NAD 7083.00-027 Yellow Mastic Behind Science Wing Corridor NAD I Wood Panel 7083.00-028 Yellow Mastic Behind Science Wing Entrance Area NAD Wood Panel I 7083.00-029 Yellow Mastic Behind Science Wing—Room 26 NAD Fiberboard Wall I KELSAY ENVIRONMENTAL CLIENT: DAY CPM /TIGARD-TUALATIN SD I FOWLER MIDDLE SCHOOL MODERNIZATION HAZARDOUS MATERIALS SURVEY ITABLE 2 ASBESTOS BULK SAMPLING INVENTORY I NAD: No Asbestos Detected FOWLER MIDDLE SCHOOL CH: Chrysotile Asbestos Sample No. Material Description Location Results(%by weight) I 7083.00-030 Yellow Mastic Behind Room Adjacent to Room 26 NAD Fiberboard Wall 7083.00-031 Cementitious Countertop Science Office 18%CH I (black) 7083.00-032 Gypsum/Joint Compound Wood Shop NAD 7083.00-033 Gypsum/Joint Compound Wood Shop NAD I 7083.00-034 Yellow Mastic Behind Maker's Space Wall NAD Fiberboard Wall 7083.00-035 Black 6"Cove Base/Mastic Large Gym NAD I 7083.00-036 Gypsum/Joint Compound Choir Room Wall NAD 7083.00-037 Gypsum/Joint Compound Choir Room Wall NAD 7083.00-038 12" Blue Floor Tile/Mastic Corridor Outside Main Office NAD I 7083.00-039 12"Tan Floor Tile/Mastic Cafeteria/Commons Tile: 3%CH Mastic: 2%CH 7083.00-040 Black Asphaltic Built-Up Roof, Far East Side, Upper NAD I Roofing Partition 7083.00-041 Black Asphaltic Built-Up Roof, Far East Side, Upper NAD Roofing Partition I 7083.00-042 Black Asphaltic Built-Up Roof, North East Extension NAD Roofing 7083.00-043 Black Asphaltic Built-Up Roof, North West Extension NAD I Roofing NAD: No Asbestos Detected CH: Chrysotile Asbestos I I LEAD INSPECTION SUMMARY Kelsay Environmental conducted a lead paint investigation, a representative screening for the presence Iof lead paint consisting of 4 paint chip samples. Paint sampling was performed to assess the hazard and not all surfaces were sampled. However,all samples tested positive for lead with the highest count from I green paint in the science wing (2890 ppm). All painted surfaces at the site should be presumed to contain some lead. Most interior surfaces were mostly intact with some chipping of surfaces noted in various locations throughout. Sample results are listed below in Table 3. Demolition of these structures I must be performed in accordance with OR-OSHA 1926.62 requirements for the safe handling of lead- containing materials. I I I KELSAY ENVIRONMENTAL CLIENT: DAY CPM /TIGARD-TUALATIN SD FOWLER MIDDLE SCHOOL MODERNIZATION HAZARDOUS MATERIALS SURVEY TABLE 3 ' LEAD PAINT CHIP SAMPLING INVENTORY FOWLER MIDDLE SCHOOL Sample No, Material Description Location Results(parts per million) 7083.00-1001 White Paint Chip Bottom Theater Area 788 7083.00-1002 Green Paint Chip Science Office Window 2890 7083.00-1003 White Paint Chip Wood Shop 890 7083.00-1004 Cream Paint Chip Nurse's Room 265 "<" indicates below the detection limit PCB BALLAST/MERCURY LIGHT BULB/MERCURY TARTAN FLOORING INSPECTION SUMMARY Poly Chlorinated Biphenyls (PCB) are a dielectric oil used in transformers, light ballasts and other electrical devices. PCB's are carcinogenic and persist in the environment and must be disposed of under EPA guidelines. A screening for PCB-containing ballasts was conducted. No PCB ballasts were found and information from the district indicated that they had been removed and replaced. All ballasts to be removed should be verified to be Non-PCB before disposal. ' Mercury is a known neurotoxin and exposures can also adversely affect kidney function. Mercury is known to exist in the Tartan flooring of both gymnasiums. Although these floors have been monitored for mercury vapor release in the past and were within an acceptable air concentration range, disturbing the material by means of removal is likely to create much higher levels of mercury vapor concentration in the air. Therefore, removal of the Tartan flooring material must be done in accordance with EPA, DEQ, and OSHA regulations for hazardous materials, including but not limited to use of a full negative pressure enclosure. ' A Toxicity Characteristic Leaching Procedure (TCLP) was conducted to determine how the waste Tartan flooring material must be disposed of. ATCLP is a bulk materials sample extraction method for chemical ' analysis employed as an analytical method to simulate leaching through a landfill. The percolating liquid often reacts with the solid waste in the landfill, and may pose public and environmental health risks because of the contaminants it absorbs. The TCLP analysis determines which of the contaminants identified by the United States Environmental Protection Agency (EPA) are present in the leachate and their concentrations. The maximum concentration for mercury by this analysis is 0.2 mg/L before the material is considered a D009 hazardous waste. Wastes in this category require disposal in a Subtitle C landfill. The Tartan flooring in the Upper Gymnasium tested higher than 0.2 mg/L. 1 KELSAY ENVIRONMENTAL CLIENT: DAY CPM /TIGARD-TUALATIN SD FOWLER MIDDLE SCHOOL MODERNIZATION HAZARDOUS MATERIALS SURVEY ' TABLE 4 MERCURY TCLP SAMPLING INVENTORY ' FOWLER MIDDLE SCHOOL Sample No. Material Description Location Results (milligrams/liter)' ' 7083.00-HG-01 Brown Tartan Flooring Upper Gymnasium,Southwest Corner 3.18 "<" indicates below the detection limit mg/L= parts per million All fluorescent light tubes contain mercury and should be recycled and/or disposed observing regulations. Care should be taken to prevent breakage of the tubes during removal as vapors/gases will ' be released. KELSAY ENVIRONMENTAL CLIENT: DAY CPM/TIGARD-TUALATIN SD FOWLER MIDDLE SCHOOL CLIENT: DAY CPM /TIGARD-TUALATIN SD I I i ' il t,i � I i 1 a } ry wits j w 4 ^V I II Ra_ - PHOTO 1: 12"floor tiles with asbestos-containing mastic found in the main entry way,outside the theater room. I I I I I I I 2-2017 KES-Project Photography I Sample No.(Material Description Results(%by weight) 022 029 7083.00-001 Gypsum/Joint Compound NAD 031- 003 04311 7083.00-002 White Spotted 12"VCT/Glue NAD 021 042 032 0.2522153511 004 -A7083.00-003 Tan 12"VCT/Glue NAD II 7083.00-004 Gypsum/Joint Compound NAD 002 s !s 7083.00-005 Gypsum/Joint Compound NAD i I stom �� 7083.00-006 Cove Base/Mastic NAD .vr11 7083.00-007 Gypsum/Joint Compound NAD as 2 s sz ?( I 041 Sealant Behind Wooden 020 ` = 5 7083.00-008 NAD a -��� ., Acoustical Wall 1002 ( ' 4 I€ 7083.00-009Brown Mastic Behind White NAD Boards 115051251 1003Mastic Behind White 41 23 030 c a i h s as 7083.00-010 BrowndNAD 019 039II , m Boards 420- ( I Floor Tile: NAD """"" 016 017 I s901 Yi 22212213210251 7083.00 011 White Floor Tile/Mastic Tan/Black Mastic:3%CH 027 005 023 024-026 018 /' / 035 034033v�s --� _- �� 028 (i 7083.00-012 1'Ceiling Tile/Mastic NAD 32,552110301 ir j I 7083.00-013 Hard Fitting on Domestic Line NAD e s0- m z " IS 1 7083.00-014 Gypsum/Joint Compound NAD IC f35 1 37015,0M 7083.00-015 Gypsum/Joint Compound NAD122A52201015a i 11 040 1 - 1 1 7083.00-016 White Sheet Flooring NADma 9 _ "�=KM 551 7083.00-017 White Sheet Flooring NAD n �` 1004 a as:xte 7083.00-018 2x4Lay-InCeilingTile NAD cxwaimam A 52251522 SW. it White Spotted 12"Floor 4 014 111155 7083.00-019 NAD 015 p..,, I Tile/Marti c A_.. 3 i 1 sr:os I 1 7083.00-020 Tan 12"FloorTile/Mastic NAD Tile:2%CH { lc 2 /UV 73132 SIM 33 15 I I 7083.00-021 Brown 12"FloorTile/Black Mastic �„ f F It Mastic:Insufficient Amnt 0125,3323201 II 1 II ' 3 Tile: Positive Stop"" ' 7083.00-022 Brown 12"FloorTile/Black Mastic p v 11 I Mastic:4%CH 1 3101=110101k 13 038 ��� 7083.00-023 2x4Lay-InCeilingTile NAD I / I 008 ( ' ( ornct LOWER 212 7083.00-024 Textured Surfacing On Wall NAD 1 Q1155 7083.00-025 Textured Surfacing On Wall NAD o0- . '' i1 4 s I 7083.00-026 Textured Surfacing On Wall NAD ,z octi sou 44 011 012 7083.00-027 Yellow Mastic Behind Wood Panel NAD 006 I'''j �� s # IIFLooR SAM /° ryi I 013" race. 7083.00-028 Yellow Mastic Behind Wood Panel NAD axr.,sR.R<¢ eassxz;. =raa,0--. r CLAS22121A1 166 512553152 74s ` r 030 001 037 7083.00-029 Yellow Mastic Behind Fiberboard NAD Wall 010 036 7083.00_030 Yellow Mastic Behind Fiberboard NAD 009-7 1001 007 7083.00-031 Cementitious Countertop(black) 18%CH I Legend -001 - ASBESTOS SAMPLE 7083.00-032 Gypsum/Joint Compound NAD 7083.00-033 Gypsum/Joint Compound NAD 7083.00-034 Yellow Mastic Behind Fiberboard NAD -1001 - LEAD PAINT SAMPLE LOCATIONWall I ■ ASBESTOS TRANSITE COUNTER TOPS 7083.00-035 Black 6"Cove Base/Mastic NAD 7083.00-036 Gypsum/Joint Compound NAD ASBESTOS CONTAINING FLOOR 7083.00-037 Gypsum/Joint Compound NAD TILE AND MASTIC 7083.00-038 12"Blue FloorTile/Mastic NAD I General NotesTile:3%CH 7083.00-039 12"Tan FloorTile/Mastic 1. Asbestos materials have been identified in various areas of the building.Asbestos materials are required to be removed prior to demolition/renovation activities. Mastic:2%CH FOWLER MIDDLE SCHOOL Suspect/Presumed materials include but are not limited to:Vinyl Floor Tile and associated Mastic,and Black Transite Counter Tops and Back Splashes. 7083.00-040 Black Textured Roofing/Tar Layers NAD I 10865 SW WALNUT STREET TIGARD,0-R 97223 2. Some areas were inaccessible during the inspection and should be assessed when exposure of these areas is possible.These areas include but are not limited to:void spaces 7083.00-041 Black Textured Roofing/Tar Layers NAD in wall cavities and plenums,potential pipe insulation below the concrete slab,and a small number of locked rooms/closets. 3. Provide selective demolition to access concealed areas. 7083.00-042 Black Textured Roofing/Tar Layers NAD I Environmental Consulting4.A screening of painted surfaces performed by the district found both lead containing/lead based paint at the site.All surfaces are presumed to contain at least some lead. 7083.00-043 Black Textured Roofing/Tar Layers NAD Contractors and subcontractors shall comply with OR--OSHA regulation(OAR Chapter 437 Division 3 1926.62). -- 3693 SE Francis Street Sample No. Material Description Location Results(parts per million) 111 Portland,OR 97202 5. Fluorescent light tubes at the site contain mercury and should be disposed of in adherence with applicable state and federal regulations and/or be recycled. (503)705-0514 6. Tartan flooring in the Upper Gymnasium is considered a mercury-containing hazardous material and must be removed and disposed of in adherence with applicable state and 7083.00-1001 White Paint Chip Bottom Theater Area 788 DATE ASB101 federal regulations and methods outlined in the project specification. 7053.00-1002 Green Paint Chip Science Office Window 2890 I 04-10-17 FLOOR MAIN 7. A screening for PCB-containing ballasts was conducted. PCB ballasts were not found throughout the structure. Since various models appeared randomly throughout most 7083.00-1003 White Paint Chip Wood Shop 890 fixtures,all ballasts to be removed should be verified to be Non-PCB before disposal. 7083.00-1004 Cream Paint Chip Nurse's Room 265 [ 11'i I Sample No. milligrams per liter) Sample No. Material Description Results(%by weight) 1 .1 I, 11 II 1 Brown Tartan Flooring in Upper 7083.00-001 Gypsum/Joint Compound NAD i 1 ! 7083.00-HG-01 3.18 [ (i i g Gymnasium 7083.00-002 White Spotted 12"VCT/Glue NAD ? 11 I 7083.00-003 Tan 12"VCT/Glue NAD 7083.00-004 Gypsum/Joint Compound NAD 1I i iI 7083.00-005 Gypsum/Joint Compound NAD Il I7083.00-006 Cove Base/Mastic NAD I II 1 € l 7083.00-007 Gypsum/Joint Compound NAD OO o 7083.00_008 Sealant Behind Wooden NAD Acoustical Wall Brown Mastic Behind White111 0 NAD O O 7083.00 009 Boards Brown Mastic Behind White 7083.00-010 NAD Boards -0 - -0 0 I 0 0 0 7083.00-011 White Floor Tile/Mastic Floor Tile: NAD Tan/Black Mastic:3%CH O O O I 7083.00-012 1'Ceiling Tile/Mastic NAD 7083.00-013 Hard Fitting on Domestic Line NAD I 0----_.e)._ --0_____ ( 7083.00-014 Gypsum/Joint Compound NAD O O O 7083.00-015 Gypsum/Joint Compound NAD ' 7083.00-016 White Sheet Flooring NAD 7083.00-017 White Sheet Flooring NAD -- 7083.00-018 2x4 Lay-In Ceiling Tile NAD --�---- White Spotted 12"Floor O O O 7083.00-019 NAD Tile/Mastic O 7083.00-020 Tan 12"Floor Tile/Mastic NAD ! I Tile:2%CH 7083.00-021 Brown 12"Floor Tile/Black Mastic Mastic:Insufficient Amnt I O O- O Tile: Positive Stop 7083.00-022 Brown 12"Floor Tile/Black Mastic Mastic:4%CH O O O 7083.00-023 2x4Lay-InCeilingTile NAD ' 7083.00-024 Textured Surfacing On Wall NAD / \ 7083.00 025 Textured Surfacing On Wall NAD ( ) �-�- - 7083.00-026 Textured Surfacing On Wall NAD v - I o O O O O O 7083.00-027 Yellow Mastic Behind Wood Panel NAD 7083.00-028 Yellow Mastic Behind Wood Panel NAD -- 0- -0 Legend 7083.00-029 Yellow Mastic Behind Fiberboard NAD --- -001 - ASBESTOS SAMPLE Wall I0 0 O HG-01 708300030 Yellow Mastic Behind Fiberboard NAD O O -1001 - LEAD PAINT SAMPLE LOCATION Wall [ ...9.7 7083.00-031 Cementitious Countertop(black) 18%CH 0 O O I -HG01 - TCLP SAMPLE LOCATION .11 ASBESTOS TRANSITE COUNTER TOPS 7083.00-032 Gypsum/Joint Compound NAD 7083.00-033 Gypsum/Joint Compound NAD ! Yellow Mastic Behind Fiberboard 7083.00 034 Wall NAD 4. ® ASBESTOS CONTAINING FLOOR TILE 7083.00-035 Black 6"Cove Base/Mastic NAD ... I ;E 1 ,i AND MASTIC 7083.00-036 Gypsum/Joint Compound NAD I, I I ( i I " ( ii ] MERCURY CONTAINING TARTAN 7083.00-037 Gypsum/Joint Compound NAD 1111'1I FLOORING 7083.00-038 12"Blue Floor Tile/Mastic NAD I General Notes I Tile:3%CH 7083.00-039 12"Tan Floor Tile/Mastic 1. Asbestos materials have been identified in various areas of the building.Asbestos materials are required to be removed prior to demolition/renovation activities. Mastic:2%CH FOWLER MIDDLE SCHOOL Suspect/Presumed materials include but are not limited to:Vinyl Floor Tile and associated Mastic,and Black Transite Counter Tops and Back Splashes. 7083.00-040 Black Textured Roofing/Tar Layers NAD I 10865 SW WALNUT STREET 2. Some areas were inaccessible during the inspection and should be assessed when exposure of these areas is possible.These areas include but are not limited to:void spaces 7083.00-041 Black Textured Roofing/Tar Layers NAD ncARD,OR 97223 in wall cavities and plenums,potential pipe insulation below the concrete slab,and a small number of locked rooms/closets. KELSAY 3. Provide selective demolition to access concealed areas. 7083.00-042 Black Textured Roofing/Tar Layers NAD iEnvironmental Consulting 4.A screening of painted surfaces performed by the district found both lead containing/lead based paint at the site.All surfaces are presumed to contain at least some lead. 7083.00-043 Black Textured Roofing/Tar Layers NAD Contractors and subcontractors shall comply with OR--OSHA regulation(OAR Chapter 437 Division 3 1926.62). 3693 SE Francis Street Sample No. Material Description Location Results(parts per million) I Portland,OR 97202 5. Fluorescent light tubes at the site contain mercury and should be disposed of in adherence with applicable state and federal regulations and/or be recycled. (503)705-0514 6. Tartan flooring in the Upper Gymnasium is considered a mercury-containing hazardous material and must be removed and disposed of in adherence with applicable state and 7083.00-1001 White Paint Chip Bottom Theater Area 788 DATE ASB102 federal regulations and methods outlined in the project specification. 7083.00-1002 Green Paint Chip Science Office Window 2890 ' UPPER 7. A screening for PCB-containing ballasts was conducted. PCB ballasts were not found throughout the structure. Since various models appeared randomly throughout most 7083.00-1003 White Paint Chip Wood Shop 890 04-10-17 GYMNASIUM fixtures,all ballasts to be removed should be verified to be Non-PCB before disposal. 7083.00-1004 Cream Paint Chip Nurse's Room 265 I C.A.Labs,LLC. Phone:225-751-5632 Labs12232 Industriplex Fax:225-751-5634 i Suite 32 Mobile:225-993-3471 Baton Rouge, LA 70809 IChain of Custody 1 Client Name: Kelsay Environmental CA Labs job # CBR j'70Z,.sr17 Client Address: 3693 SE Francis St. Billing Address: Portland, Oregon 97202 (if different) i phone number: 503 705-0514 I fax number: 6 U Send Reports to:B%Kelsay & krohrer.kes@gmail.com Project Number: }�3 Project Name: tole( S, Reports Results IContact: Brad Kelsay VIA: EMAIL X FAX VERBAL_-, ITotal# Samples Submitted: Total#Samples to be Analyzed: Material Matrix: iI S Air /Water Asbestos: please call ahead for availability of all rush and/or after hours samples. I TEM Time /ALM TA Time Optical/IAQ TA Time Circle analysis and TA time Circle analysis and TA time 2 hour Allergen Particle: 2 hour AHERA 4 hour .Improved 4 hour tape/bulk/swab 4 hour I EPA Level U . 8 hour Interim 8 hour Cyclex-d cassettes 8 hour Drinking Water 16 hour 16 hour Air-o-cell cassettes 16 hour Wipe 24 hour AHERA I Anderson cultures 24 hour IMicro-vac 2 days days , Bulk/swab cultures 2 days NIOSH 7402 3 days Point Count- 3 days ; Bacteria cultures 3 days Chatfield Bulk 5 days (NESHAPS) 5 days I PCM:NIOSH 7400 5-10 days Lead: Circle analysis and TA time • Matrix: Paint Chips ! Soil Air Wipes Wastewater TCLP ITA Time: 8 hour 1 1 day 2 days 3 days 5 days 6-10 days I Sample Information: Sample Number: , Sample Location: Sample Date/ ime: 1 Sample Volume(L) Ci I ' ;''A COr dor L.t1? ✓m C tsv". r 14 h1 VV&C1 1 O a (Ii s aTrel Jrl.� Cr .� i a 4140IcAr-ri WI n G r "'c - OS .sed Co *m . 1 a rw� ldatalword rolformsICha' fCustod .I p rno y wp Revision 2 3/12/01 PW-0 \I iEJ , /, ICustody Information: /S / - � � Samples relinquished: � Samples received:v,./ 2/4/i7 flj,cc-.61M I Signature/Date/Time Signature/Date/Time Samples relinquished: Samples received: Signature/Date/Time Signature/Date/Time CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. ' 1929 Old Denton Road 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 Baton Rouge,LA 70809 Quality Phone 972-242-2754 � Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 1 Materials Characterization - Bulk Asbestos Analysis Laboratory Analysis Report- Polarized Light Kelsay Environmental Attn: Brad Kelsay 833 SE Main St.Ste 410 Customer Project: Fowler MS 7083.00 ' Portland,OR 97214 Reference#: CBR1702597 Date: 2/17/2017 Analysis and Method Summary of polarizing light microscopy(PLM/Stereomicroscopy bulk asbestos analysis)using the methods described in 40CFR Part 763 Appendix E to Subpart E(Interim and EPA 600/R-93/116(Improved). The sample is first viewed with the aid of stereomicroscopy.Numerous liquid slide preparations are created for analysis under the polarized microscope where identifications and quantifications are preformed.Calibrated liquid refractive oils are used as liquid mouting medium.These oils are used for identification(dispersion staining).A calibrated visual estimation is reported, should any asbestiform mineral be present.Other techniques such as acid washing are used in conjugation with refractive oils for detection of smaller ' quantities of asbestos.All asbestos percentages are based on calibrated visual estimation traceable to NIST standards for regulated of asbestos. Traceability to measurement and calibration is achieved by using known amounts and types of asbestos from standards where analyst and laboratory accuracy are measured. As little as 0.001%asbestos can be detected in favorable samples,while detection in unfavorable samples may approach the detection limit of 0.50%(well above the laboratory definition of trace). I Discussion Vermiculite containing samples may have trace amounts of actinolite-tremolite,where not found be PLM should be analyzed using TEM methods and/or water separation techniques.Suspected actinolite/vermiculite presence will be indicated through the sample comment section of this report. Fibrous talc containing samples may even contain a related asbestos fiber known as anthophyllite.Under certain conditions the same fiber may actually contain both talc and anthophyllite(a phenomenon called intergrowth).Again,TEM detection methods are recommended.CA Labs PLM report comments will denote suspected amounts of asbestiform anthophyllite with talc,where further analysis is recommended. ' Some samples(floor tiles,surfacings,etc.)may contain fibers too small to be delectable by PLM analysis and should be analyzed by TEM bulk protocols. ' A"trace asbestos"will be reported if the analyst observes far less than 1%asbestos.CA Labs defines"trace asbestos"as a few fibers detected by the analyst in several preparations and will indicate as such under these circumstances. Quantification of<1%will actually be reported as<=1%(allowable variance close to 1%is high).Such results are ideal for point counting,and the technique is mandatory for friable samples(NESHAP,Nov.1990 and clarification letter 8 May 1991)under 1%percent asbestos and the"trace asbestos".In order to make all initial PLM reports issued from CA Labs NESHAP compliant,all<1%asbestos results(except floor tiles)will be point counted at no additional charge. ' Qualifications CA Labs is accredited by the National Voluntary Accreditation Program(NVLAP)for selected test methods for airborne fiber analysis(TEM),and for bulk asbestos fiber analysis(PLM).All analysts have a college degree in a natural science(geology,biology,or environmental science)or are ' recognized by a state professional board in one these disciplines.Extensive in-house training programs are used to augment education background of the analyst.The group leader of polarized light has received supplemental McCrone Research training for asbestos identification.This report is not covered by the scope of AIHA accreditation.Analysis performed at CA Labs,LLC 12232 Industriplex,Suite 32 Baton Rouge,LA 70809. ' Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ I CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. I 1929 Old Denton Road12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 y -- Baton Rouge,LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 I Fax 972-242-2798 Fax 225-751-5634 • ri l Containing Asbestos I Overview of Project Sample Mate a q Customer Project: Fowler MS 7083.00 CA Labs Project#: CBR1702597 I Sample# Layer Analysts Physical Description of Asbestos type/ # Subsample calibrated visual List of Affected Building estimate percent Material Types I No Asbestos Detected. I I I I I I Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ I Glossary of abbreviations(non-asbestos fibers and non-fibrous minerals): I ca-carbonate pe-perlite fg-fiberglass pa-palygorskite(clay) I gypsum-gypsum qu-quartz mw-mineral wool bi-binder wo-wollastinite or-organic to-talc ma-matrix sy-synthetic mi-mica ce-cellulose ve-vermiculite br-brucite I of-other ka-kaolin(clay) This report relates to the items tested.This report is not to be used by the customer to claim product certification,approval or endorsement by NVLAP,NIST,AIHA LAP,LLC,or any other agency of the federal government.This report may not be reproduced except in full without written permission from CA Labs.These results are submitted pursuant to CA Labs'current terms and sale,condition of sale,including the company's standard warranty and limitations of liability provisions and no responsibility or liability is assumed for the manner in which the results are used or interpreted.Unless notified in writing to return the samples covered by this report,CA Labs will store the samples for a period of ninety(90)days before discarding.A shipping or handling fee may be assessed for the return of any samples. I ICA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. 1929 Old Denton Road 1 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 Baton Rouge,LA 70809 I Quality Phone 972-242-2754 Fax 972-242-2798 Phone 225-751-5632 Fax 225-751-5634 IPolarized Light Asbestiform Materials Characterization Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: I Kelsay Environmental CBR1702597 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 2/17/2017 Turnaround Time: 2 day Samples Received: 2/16/2017 I Phone# 503-705-0514 Fax# Date Of Sampling: Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent I us (Y/N) estimate percent I 01 1 White Compound Y None Detected 100%qu,pe,ca 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy 02 1 White Floor Tile Y None Detected 100%qu,ca I 2 Tan Mastic Y None Detected 100%qu,bi 1 03 1 White Floor Tile Y None Detected 100%qu,ca I2 Tan Mastic Y None Detected 100%qu, bi White Surfaced White 100%qu, mi, bi, I 04 1 Compound N None Detected ca Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) I Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) I or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories: ma-matrix qu-quartz sy-synthetic t,/S-^,tr<,t I Derek Fuselier Senior Analyst Laboratory Director Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 8.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7,Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method I 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I I Crisp Analytical, L.L.C. CA Labs, L.L.C. I CA Labs 1929 Old Denton Road 1 ,, 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 -v,. Baton Rouge,LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 I Fax 972-242-2798 Fax 225-751-5634 Polarized Light Asbestiform Materials Characterization I Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsay Environmental CBR1702597 I 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 2/17/2017 Turnaround Time: 2 day Samples Received: 2/16/2017 Phone# 503-705-0514 Date Of Sampling: I Fax# Purchase Order#: Sample# Com Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent us estimate percent I (Y/N) 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy I 100%qu,mi, bi, 05 1 Blue Surfaced White Compound N None Detected ca I 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy I I I Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 I LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) I Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories: I ma-matrix qu-quartz sy-synthetic Derek Fuselier Senior Analyst Laboratory Director I Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 6.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I 1 C.A.Labs,LLC. Phone:225-751-5632 LabsS12u a I3n2dustrxpleX Fax:225-751-5634 I Rouge, LA 70809 Mobile:225-993-3471 Baton. CA IChain of Custody 1 Client Name: Kelsey EnvironmentalCA Labs job# CBR ?VZ .�y Client Address: 833 SE Main Suite 410 Billing Address: Portland, Oregon 97214 (if different) 1 phone number: 503 705-0514 Krc,Inrer, S elmdif f Gpm 1 fax number: Send Reports to: melliott.kes@oma .cam Project Number: S } Project Name: bradkelsay@comcast.net Viler AS Reports Results I Contact: Brad Kelsey VIA: EMAIL X FAX VERBAL_ Total#Samples Submitted: Total#Samples to be An yz : Material Matrix: 1 31" 30-, Air/Water P Asbestos: please call ahead for availability of all rush and/or after hours samples. I TEM TA Tune pL _ TA Time Optical/IAQ TA Time Circle analysis and TA time Circle analysts and TA time 2 hour Allergen Particle: 2 hour AHERA 4 hour Improved 4 hour tape/bulk/swab 4 hour I EPA Level ll 8 hour Interim 8 hour Cyclex-d cassettes 8 hour Drinking Water 16 hour 16 hour Air-o-cell cassettes 16 hour Wipe 24 hour AHERA CgliTcur> Anderson cultures 24 hour I Micro-vac 2 days 2 days Bulk/swab cultures 2 days NIOSH 7402 3 days Point Count- 3 days Bacteria cultures 3 days Chatfield Bulk 5 days (NESHAPS) 5 days PCM:NIOSH 7400 5-10 days I Lead: Circle analysis and TA time Matrix: Paint Chips Soil Air Wipes Wastewater TCLP ITA Time: 8 hour 1 day 2 days 3 days 5 days 6-10 days I Sample Information: Sample Number: Sample Location: Sample Date/Time: I Sample Volume(L) 0 6 -itM nw' Cath .�rr�wa4 1 1 `# �{rikrh /3f�.• iiif- { —+ ra101,0.4. g -Eo A+�r;uvy P CEa.,if t�v�d � �� acasaac..t W411 () F- /1vr► bun L kat savbvin mem , (a,1 G,14 u11,f ► hoards 1 ldafalwordprolforms\ChainofCustody.Iwp Revision 2 3/12/01 Page 1 1 (3 ICustody Information: y VI a / i Samples relinquished: Samples received: --/.../-7-y 17 (r-50 on I Samples relinquished: Signature/Date/Time Samples received: Signature/Date/Time Signature/Date/Time Signature/Date/Time I - 12232 Industriplex Phone:225-751-5632 I CALabs Suite 32 Fax:225-751-5634 Baton Rouge, LA 70809 After hours Mobile:225-993-3471 I I Client Name: IeA47fewily hKrl,Cp e CA Labs job# CBR 1-7 k--t.6(A Client Address: Billing Address: (if different) I phone number: fax number: Send Reports to: Project Number: 7.0e3. Go Project Name: �w Ip,(- )AS I p / ��/ Reports Results Contact: b1-Ad of 7 VIA: EMAIL FAX VERBAL,,, Sample Number: Sample Location: Sample Date/Time: , Sample Volume(L) t I I I {g'lea`n Gal n- WbiWk VAT 4 ivIA trc - 12 tilisNM i;n�r Wr ji-�� C2A. 1, 4 Mai4,'c I I3 Fief iStr $90,0, liarA 'fit.Nt% art dowwst,c 15 ir i II I F VIP (s iftwit glitz. tJAzic it eeq--1,nirkg- •c 18 Crbd c 0 'of .0 y/al �enre! oti /0s 'F f`+7 4r-� I ' ' I .''_ -Magna='_ Sc e' wM uM- % rid.' 12 -14, h6 -L;lA. 2.0 cde.nca,v.) k,du !' 'a-' +AK 1-2_ CLL 4 i(i f? 21 Sci?Mtn -2-3A 12"+1p- I 2 y 1,, 4 z3 Scievirr or/I�i�u2 / a,,,,-Y- 67,--11' Y lc AAA' ,Icxyne 2Y /�oa� ,ih c Ste/ Arid Saricc, of w4I �5�'p Zf /I ir ,26 21 5cra if- Mksil c vae.6:n . 1,Voad. Rufici I 28 5a,e iai? Latoi ell l'Ar Al c. lwelq.MA ( L t (Ai-0c 1 9 4' C 2110 5ci nj L.stistiN ecomr 21.4, - d $ be. l a d j 4f3 tao r4 Z CP iNteigi-i ioeln+U t -'leer /'d 31 _icy ,l7f k edell td t fa 1 trmay„ I f 55b/ 31- I•t)el.,AT k. ,i› Sol n-i-t.6 ca�'i\ ark 3 / ,,/ diI .3e ."4ers &re &et yejloul Agu &kik 4 f .4o.'+4. 4-4 For internal use: My2(3 I initial changes regarding project(indicate yes by checking line) 27------X r?"4/f; I Custody Information: ‘ Samples relinquished: Samples received: T".> _ 11,2/17k Z -PA. Signature/Date/Time Signature/Date/Time Samples relinquished: Samples received: I Signature/Date/Time Signature/Date/Time 12232 Suit Industriplex Phone:225-751-5632 CAI Suite 32 Fax:225-751-5634 I Baton Rouge, LA 70809 After hours Mobile:225-993-3471 I IClient Name: a4 ,I'd CA Labs job# CBR 1?uI GLot Client Address: Billing Address: I (if different) phone number: fax number: Send Reports to: IProject Number: B3 pd Project Name: unci/ -Ai C Contact: kJ Reports Results f VIA: EMAIL FAX VERBAL_,_ ISample Number: Sample/Location: Sample Date/Time: Sample Volume(L) 1 I 1:-C 35 /ti yet utd 6 Cow iest of—fr i 36 Carr'Mewl 74 ki 3i- - al.?:r °PP' uktli._ C 1 ifi/;`'PCT.,- A-14011e Alain-#r IS-eft< 31 C eke /���.►,..-o,- f tG � s I I I I • I I I For internal use: 3 3 Any initial changes regarding project(indicate yes by checking line) p7 I Custody information: ./e /7-- Samples relinquished: Samples received: _\-----2...---- ri '--//1 W.SO A in • •i.tore/Date/Time Signature/Date/Time ISamples relinquished: Samples received: Signature/Date/Time Signature/Date/Time I ' ' CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. 1929 Old Denton Road 12232 lndustriplex,Suite 32 Dedicated to Carrollton,TX 75006 Baton Rouge,LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 Materials Characterization - Bulk Asbestos Analysis Laboratory Analysis Report-Polarized Light Kelsay Environmental Attn: Brad Kelsay 833 SE Main St.Ste 410 Customer Project: Fowler MS 7083.00 ' Portland,OR 97214 Reference#: CBR1702669Amend Date: 3/2/2017 Analysis and Method Summary of polarizing light microscopy(PLM/Stereomicroscopy bulk asbestos analysis)using the methods described in 40CFR Part 763 ' Appendix E to Subpart E(Interim and EPA 600/R-93/116(Improved). The sample is first viewed with the aid of stereomicroscopy.Numerous liquid slide preparations are created for analysis under the polarized microscope where identifications and quantifications are preformed.Calibrated liquid refractive oils are used as liquid mouting medium.These oils are used for identification(dispersion staining).A calibrated visual estimation is reported, should any asbestiform mineral be present.Other techniques such as acid washing are used in conjugation with refractive oils for detection of smaller ' quantities of asbestos.All asbestos percentages are based on calibrated visual estimation traceable to NIST standards for regulated of asbestos. Traceability to measurement and calibration is achieved by using known amounts and types of asbestos from standards where analyst and laboratory accuracy are measured. As little as 0.001%asbestos can be detected in favorable samples,while detection in unfavorable samples may approach the detection limit of 0.50%(well above the laboratory definition of trace). ' Discussion Vermiculite containing samples may have trace amounts of actinolite-tremolite,where not found be PLM should be analyzed using TEM methods and/or water separation techniques.Suspected actinolite/vermiculite presence will be indicated through the sample comment section of this report. ' Fibrous talc containing samples may even contain a related asbestos fiber known as anthophyllite.Under certain conditions the same fiber may actually contain both talc and anthophyllite(a phenomenon called intergrowth).Again,TEM detection methods are recommended.CA Labs PLM report comments will denote suspected amounts of asbestiform anthophyllite with talc,where further analysis is recommended. ' Some samples(floor tiles,surfacings,etc.)may contain fibers too small to be delectable by PLM analysis and should be analyzed by TEM bulk protocols. ' A"trace asbestos"will be reported if the analyst observes far less than 1%asbestos.CA Labs defines"trace asbestos"as a few fibers detected by the analyst in several preparations and will indicate as such under these circumstances. ' Quantification of<1%will actually be reported as<=1%(allowable variance close to 1%is high).Such results are ideal for point counting,and the technique is mandatory for friable samples(NESHAP,Nov.1990 and clarification letter 8 May 1991)under 1%percent asbestos and the"trace asbestos".In order to make all initial PLM reports issued from CA Labs NESHAP compliant,all<1%asbestos results(except floor tiles)will be point counted at no additional charge. Qualifications CA Labs is accredited by the National Voluntary Accreditation Program(NVLAP)for selected test methods for airborne fiber analysis(TEM),and for bulk asbestos fiber analysis(PLM).All analysts have a college degree in a natural science(geology,biology,or environmental science)or are ' recognized by a state professional board in one these disciplines.Extensive in-house training programs are used to augment education background of the analyst.The group leader of polarized light has received supplemental McCrone Research training for asbestos identification.This report is not covered by the scope of AIHA accreditation.Analysis performed at CA Labs,LLC 12232 lndustriplex,Suite 32 Baton Rouge,LA 70809. Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ i D,n..1 nF 1.1 I CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. I 1929 Old Denton Road12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 ve. Baton Rouge,LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 I Fax 972-242-2798 Fax 225-751-5634 Overview of ProJ SampleContaining Material Containin Asbestos I Customer Project: Fowler MS 7083.00 CA Labs Project#: CBR1702669AmendII Sample# Layer Analysts Physical Description of Asbestos type/ # Subsample calibrated visual List of Affected Building estimate percent Material Types Tan and Black Mastic I 11 2 Tan and Black Mastic 3%Chrysotile Tan Floor Tile Black Transite I 21 1 Tan Floor Tile 2%Chrysotile 22 2 Black Mastic 4%Chrysotile I 31 1 Black Transite 18%Chrysotile I 39 1 Tan Floor Tile 3%Chrysotile I 2 Black Mastic 2%Chrysotile I I Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ I Glossary of abbreviations(non-asbestos fibers and non-fibrous minerals); I ca -carbonate pe-perlite fg-fiberglass pa-palygorskite(clay) I gypsum-gypsum qu-quartz mw-mineral wool bi-binder wo-wollastinite or-organic to-talc ma-matrix sy-synthetic mi-mica ce-cellulose ve-vermiculite br-brucite I of-other ka-kaolin(clay) This report relates to the items tested.This report is not to be used by the customer to claim product certification,approval or endorsement by NVLAP,NIST,ASIA LAP,LLC,or any other agency of the federal government.This report may not be reproduced except in full without written permission from CA Labs.These results are submitted pursuant to CA Labs'current terms and sale,condition of sale,including the company's standard warranty and limitations of liability provisions and no responsibility or liability is assumed for the manner in which the results are used or interpreted.Unless I notified in writing to return the samples covered by this report,CA Labs will store the samples for a period of ninety(90)days before discarding.A shipping or handling fee may be assessed for the return of any samples. I r,,,,—.1—;11 lin ii I CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. 1929 Old Denton Road12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 Baton Rouge,LA 70809 I Quality Phone 972-242-2754 225-751-5632 Fax 972-242-2798 Fax 225 751-5634 iPolarized Light Asbestiform Materials Characterization Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: I Kelsay Environmental CBR1702669Amend 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 I Phone# 503-705-0514 Fax# Date Of Sampling: Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent I us estimate percent (Y/N) I06 1 Black Cove Base Y None Detected 100%qu,ma I2 Brown Mastic Y None Detected 100%qu,gy,bi White Surfaced White 07 1 Compound N None Detected 4%ta 96%qu,bi,ca I 2 White Compound Beneath Tape Y None Detected 4%ta 96%qu,bi,ca I3 White Drywall with Paper N None Detected 10%ce 90%qu,gy I08 1 Black Sealant Y None Detected 100%qu,bi,ma I 2 Tan Fibrous Insulation Y None Detected 100%fg Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) I Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) I or-organic pe-perlite qu-quartz ta-talc pa-palygorskite(clay) Approved Signatories: ma-matrix / sy-synthetic I Derek Fuselier Analyst Senior Analyst Laboratory Director Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite B.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I I CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. I 1929 Old Denton Road 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 �.,. Baton Rouge,LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 Polarized Light Asbestiform Materials Characterization I Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsay Environmental CBR1702669Amend 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 Phone# 503-705-0514 Date Of Sampling: I Fax# Purchase Order#: Sample# Com Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent us estimate percent (Y/N) I 09 1 Yellow Mastic Y None Detected 100%qu,bi I 10 1 White Surfacing Y None Detected 100%qu,bi I 2 Brown Mastic Y None Detected 100%qu,bi I 11 1 Tan Floor Tile Y None Detected 100%qu,ca 2 Tan and Black Mastic N 3%Chrysotile 97%qu,bi 12 1 White Surfacing Y None Detected 100%qu, bi I 20%fg 2 Tan Ceiling Tile Y None Detected 70%ce 10%qu,pe I Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for I identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ye-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) or-organic pe-perlite ta-talc pa-palygorskite(clay) Approved Signatories: I ma-matrix qu--quartz sy-synthetic / —^ Derek Fuselier Senior Analyst Laboratory Director I Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite In association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other budding materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I I ICA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. 1929 Old Denton Road 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 -- , -= Baton Rouge,LA 70809 I Quality Phone 972-242-2754 Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 1 Polarized Light Asbestiform Materials Characterization Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsey Environmental CBR1702669Amend 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 Phone# 503-705-0514 Date Of Sampling: Fax# Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent I us estimate percent I 95%qu,gy,ma, 13 1 White Insulation Y None Detected 5%fg ca I 2 White Mesh Y None Detected 100%sy 14 1 Tan Surfaced White Compound N None Detected 2%wo 98%qu, bi,ca I 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy I15 1 White Compound Y None Detected 100%qu,pe,ca I2 White Drywall with Paper N None Detected 10%ce 90%qu,gy I 16 1 Tan Linoleum Y None Detected 25%ce TDH 75%qu, ma Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) I Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories: ma-matrix qu-quartz sy-synthetic I Derek Fuselier Senior Analyst Laboratory Director Analyst Alicia Stretz Chris Williams • 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method I 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.c 1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested • I I CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. , 1929 Old Denton Road i 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 ,.. Baton Rouge,LA 70809 Quality Phone 972-242-2754 - Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 Polarized Light Asbestiform Materials Characterization Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsay Environmental CBR1702669Amend 833 SE Main St.Ste 410 Fowler MS I Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 Phone# 503-705-0514 Date Of Sampling: I Fax# Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent us estimate percent I (Y/N) 2 Tan Mastic Y None Detected 100%qu, bi I 17 1 Tan Linoleum Y None Detected 25%ce 75%qu, ma I 2 Tan Mastic Y None Detected 100%qu,bi I 18 1 White Surfacing Y None Detected 100%qu,bi 20%fg I 2 Tan Ceiling Tile Y None Detected 70%ce 10%qu,pe 19 1 White Floor Tile Y None Detected 100%qu,ca I 2 Tan Mastic Y None Detected 2%ce 98%qu,gy,bi Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart El/Improved(EPA-600/R-93/116) Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca-carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ye-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) or-organic pe-perlite ta-talc pa-palygorskite(clay) Approved Signatories: I ma-matrix qu-quartz sy-synthetic (:-A>7..{...,;;, Derek Fuselier Senior Analyst Laboratory Director I Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I I r1......c..F19 I 1 Crisp Analytical, L.L.C. CA Labs, L.L.C. CA Labs 1929 Old Denton Road 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006II --- - .- Baton Rouge,LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 IPolarized Light Asbestiform Materials Characterization Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: I Kelsay Environmental CBR1702669Amend 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 I Phone# 503-705-0514 Fax# Date Of Sampling: Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent I us estimate percent (Y/N) I20 1 White Floor Tile Y None Detected 100%qu,ca I 2 Tan Mastic Y None Detected 100%qu,bi 21 1 Tan Floor Tile Y 2%Chrysotile 2%ce 96%qu,ca 1 5 2 Black Mastic Y t22 1 Tan Floor Tile Y Positive Stop 1 2 Black Mastic Y 4%Chrysotile 96%qu,bi I 23 1 White Surfacing Y None Detected 100%qu,bi Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) I Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ye-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) I or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories: ma-matrix qu-quartz sy-synthetic I Derek Fuselier Senior Analyst Laboratory Director Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method I 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.v 1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I o-.....7..F'I7 I CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. I 1929 Old Denton Road 1 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 _,.p, Baton Rouge,LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 I Fax 972-242-2798 Fax 225-751-5634 Polarized Light Asbestiform Materials Characterization t Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsay Environmental CBR1702669Amend I 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 Phone# 503-705-0514 Date Of Sampling: I Fax# Purchase Order#: Sample# Com Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent us estimate percent I (Y/N) 20% 2 Tan Ceiling Tile Y None Detected 70%ce 10%qu,pe 100%qu,pe, bi, 24 1 White Textured Surfacing N None Detected ca 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy 100%qu, pe,bi, I 25 1 White Textured Surfacing N None Detected ca i 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy I 26 1 White Drywall with Paper N None Detected 10%ce 90%qu,gy 1 27 1 Gray Sealant Y None Detected 100%qu,bi Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) I Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) or-organic pe-perlite ta-talc pa-palygorskite(clay) Approved Signatories: I ma-matrix qu-quartz sy-synthetic //--- Derek Fuselier Senior Analyst Laboratory Director I Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I ICA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. 1929 Old Denton Road 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 Baton Rouge,LA 70809 I Quality Phone 972-242-2754 Fax 972-242-2798 Phone 225-751-5632 Fax 225-751-5634 I Polarized Light Asbestiform Materials Characterization Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: 1 Kelsay Environmental CBR1702669Amend 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 I Phone# Fax# 503-705-0514 Date Of Sampling: Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent us estimate percent (Y/N) I 28 1 Tan Sealant Y None Detected 100%qu,bi I 29 1 Tan Mastic Y None Detected 100%qu,bi 2 Brown Fiberboard Y None Detected 100%ce 30 1 Tan Mastic Y None Detected 100%qu,bi I2 Brown Fiberboard Y None Detected 100%ce 31 1 Black Transite Y 18%Chrysotile 82%qu,ca White Surfaced White I 32 1 Compound N None Detected 8%ta 92%qu, bi,ca Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) I Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) I or-organic pe-perlite ta-talc pa-palygorskite(clay) Approved Signatories: ma-matrix (:A--7-r.,Aqu-quartzsy-synthetic ' Derek Fuselier Senior Analyst Laboratory Director Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophylltte in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other budding materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.n 1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I CA Laws Crisp Analytical, L.L.C. CA Labs, L.L.C. I 1929 Old Denton Road i _ 12232 Industriplex,Suite 32 ' Dedicated to Carrollton,TX 75006 / Baton Rouge,LA 70809 Quality Phone 972-242-2754 - Phone 225-751-5632 I Fax 972-242-2798 Fax 225-751-5634 Polarized Light Asbestiform Materials Characterization I Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsay Environmental CBR1702669Amend 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 Phone# 503-705-0514 Date Of Sampling: Fax# Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent us estimate percent I (Y/N) 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy I White Surfaced White 33 1 Compound N None Detected 8%ta 92%qu,bi,ca I 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy I 34 1 Tan Mastic Y None Detected 100%qu,bi 2 Brown Fiberboard Y None Detected 100%ce I 35 1 Black Cove Base Y None Detected 100%qu, ma I 2 Tan Mastic Y None Detected 100%qu,bi I Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca-carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) or-organic pe-perlite ta-talc pa-palygorskite(clay) Approved Signatories: I ma-matrix qu-quartz sy-synthetic A--tea > Derek Fuselier Senior Analyst Laboratory Director I Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I I CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. 1929 Old Denton Road12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006 '-- Baton Rouge,LA 70809 I Quality Phone 972-242-2754 Fax 972-242-2798 Phone 225-751-5632 Fax 225-751-5634 I Polarized Light Asbestiform Materials Characterization Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsay Environmental CBR1702669Amend I 833 SE Main St.Ste 410 Fowler MS Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 I Phone# 503-705-0514 Fax# Date Of Sampling: Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent I us estimate percent (Y/N) I 36 1 White Surfacing Y None Detected 100%qu,bi I2 White Drywall with Paper N None Detected 10%ce 90%qu,gy White Surfaced White 37 1 Compound on Mesh N None Detected 10%fg 90%qu,bi,ca 2 White Drywall with Paper N None Detected 10%ce 90%qu,gy I38 1 Blue Floor Tile Y None Detected 100%qu,ca I2 Tan Mastic Y None Detected 100%qu,bi I 39 1 Tan Floor Tile Y 3%Chrysotile 97%qu,ca Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) I Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-woilastinite ka-kaolin(clay) I or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories: ma-matrix qu-quartz sy-synthetic I Derek Fuselier Analyst Senior Analyst Laboratory Director Alicia Stretz Chris Williams 0.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other balding materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 30.TEM analysis suggested I I ❑-.....'1'f .F 1 7 I CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. I 1929 Old Denton Road 12232 Industriplex,Suite 32 Dedicated to Carrollton,TX 75006Baton Rouge,LA 70809 Quality Phone 972-242-2754 - ���� Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 I Polarized Light Asbestiform Materials Characterization I Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsay Environmental CBR1702669Amend 833 SE Main St.Ste 410 Fowler MS I Portland,OR 97214 7083.00 Date: 3/2/2017 Turnaround Time: 24 hr Samples Received: 2/21/2017 Phone# 503-705-0514 Date Of Sampling: I Fax# Purchase Order#: Sample# Corn Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent us estimate percent I (Y/N) 2 Black Mastic Y 2%Chrysotile 2%ce 96%qu, bi I I I I I Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 I LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for I identification of asbestos types by dispersion attaining/becke line method. ca -carbonate mi-mica fg-fiberglass ce-cellulose gypsum-gypsum ve-vermiculite mw-mineral wool br-brucite bi-binder of-other wo-wollastinite ka-kaolin(clay) or-organic pe-perlite ta-talc pa-palygorskite(clay) Approved Signatories: I ma-matrix qu-quartz sy-synthetic Derek Fuselier Senior Analyst Laboratory Director I Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 8.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.<1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I I 0,...,1 7..f n'f 1 CA.Labs,LLC. - Phone:22&.751- 632 12232 Industriplex Fax:225.751.5634 Scute 32 Baton Rouge, LA 7 Moble:225-993-347 1 Chain of Custody IClient Name: Kelsey Environmental I CA Labs job#' CSR /70 1W tI Client Address: 833 SE Main Suite 410 Billing Address: IPortland, Oregon 97214 (if different) phone number 503 705-0514 1 fax number: Send Reports to: melliott.kesCa)s�mail.c©m Project Number: Project Name: bradkelsay@comcast.net Reports Results IContact Brad Kelsey VIA: EMAIL X FAX VERBAL 1 Total#Samples Submitted: Total#Sam les to be Analyzed: Material Matrix: I4 Air/Bulk/Water Asbestos: please call ahead for availability of all rush and/or after hours samples. TEM TA Time TA Time t}ptf�/WITA Time c s and TA m� a„�W Te time2 hour Allergen Particle: 2 hour AHERA 4 hour Improved 4 hour tape/bulk/swab 4 hour IEPA Level II. —_ 8 hourInterim.__., 8 hour . - Cyclex-d cassettes 8 hour- Drinking Water 16 hour 16 hour Air-o-cell cassettes 16 hour Wipe 24 hour AHERA d.1, +o Anderson cultures 24 hour IMicro-vac 2 days • ys Bulk/swab cultures 2 days NIOSH 7442 3 days Point Count- 3 days Bacteria cultures 3 days ' Chatfield Bulk 5 days (NESHAPS) 5 days PCM:NIOSH 7400 5-10 days Lead: case.anaiyab and 7A Un* IMatrix: Paint Chips Soil Air Wipes Wastewater TCLP TA Time: 8 hour 1 day 2 days 3 days 5 days 6-14 days r I Sample Information: 1 Sample Number: Sample Location: Sample Date/Time: I Sample Volume(L) 7023.00 – 40 R.� y �r �.4� S�C�c �ctiC •idrfkred �tush• 7.-..$i�-�ee{t„�4. - 4z ,. . , u. ..�. NF 5] .81o.c1c -if.X4 . ' (t�.i.{erS 43 A.)/,/ S;a1A- �! , 9 ldatalwordprolfarmstChainofcustody.wp Revision 2 3/12/01 Page 1 xi ICustody information: b �j j.�- Samples relinquished: yr eige 1 Samples received: j gt - 4 g.../1 ?: I Signature/Date/Time Signature/Date/Time Samples ingied: Samples received Signature/Date/Time Signature/Date/Time CA Labs Crisp Analytical, L.L.C. CA Labs, L.L.C. 1929 Old Denton Road , 12232 Industriplex, Suite 32 Dedicated to Carrollton, TX 75006 Baton Rouge, LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 Materials Characterization - Bulk Asbestos Analysis Laboratory Analysis Report- Polarized Light Kelsay Environmental Attn: Brad Kelsay 833 SE Main St. Ste 410 Customer Project: 7083.00 Portland, OR 97214 Reference#: CBR17041412Amend Date: 4/11/2017 ' Analysis and Method Summary of polarizing light microscopy(PLM/Stereomicroscopy bulk asbestos analysis)using the methods described in 40CFR Part 763 Appendix E to Subpart E(Interim and EPA 600/R-93/116(Improved). The sample is first viewed with the aid of stereomicroscopy. Numerous ' liquid slide preparations are created for analysis under the polarized microscope where identifications and quantifications are preformed.Calibrated liquid refractive oils are used as liquid mouting medium.These oils are used for identification(dispersion staining).A calibrated visual estimation is reported,should any asbestiform mineral be present.Other techniques such as acid washing are used in conjugation with refractive oils for detection of smaller quantities of asbestos.All asbestos percentages are based on calibrated visual estimation traceable to NIST standards for ' regulated of asbestos.Traceability to measurement and calibration is achieved by using known amounts and types of asbestos from standards where analyst and laboratory accuracy are measured. As little as 0.001%asbestos can be detected in favorable samples,while detection in unfavorable samples may approach the detection limit of 0.50%(well above the laboratory definition of trace). Discussion Vermiculite containing samples may have trace amounts of actinolite-tremolite,where not found be PLM should be analyzed using TEM methods and/or water separation techniques.Suspected actinolite/vermiculite presence will be indicated through the sample comment section of this report. ' Fibrous talc containing samples may even contain a related asbestos fiber known as anthophyllite. Under certain conditions the same fiber may actually contain both talc and anthophyllite(a phenomenon called intergrowth).Again,TEM detection methods are recommended.CA Labs PLM report comments will denote suspected amounts of asbestiform anthophyllite with talc,where further analysis is recommended. 1 Some samples(floor tiles,surfacings,etc.)may contain fibers too small to be delectable by PLM analysis and should be analyzed by TEM bulk ' protocols. A"trace asbestos"will be reported if the analyst observes far less than 1%asbestos.CA Labs defines"trace asbestos"as a few fibers detected by the analyst in several preparations and will indicate as such under these circumstances. ' Quantification of<1%will actually be reported as<=1%(allowable variance close to 1%is high).Such results are ideal for point counting,and the technique is mandatory for friable samples(NESHAP,Nov. 1990 and clarification letter 8 May 1991)under 1%percent asbestos and the"trace ' asbestos".In order to make all initial PLM reports issued from CA Labs NESHAP compliant,all<1%asbestos results(except floor tiles)will be point counted at no additional charge. ' Qualifications CA Labs is accredited by the National Voluntary Accreditation Program (NVLAP)for selected test methods for airborne fiber analysis(TEM),and for bulk asbestos fiber analysis(PLM).All analysts have a college degree in a natural science(geology,biology,or environmental science)or are recognized by a state professional board in one these disciplines.Extensive in-house training programs are used to augment education background ' of the analyst.The group leader of polarized light has received supplemental McCrone Research training for asbestos identification.This report is not covered by the scope of AIHA accreditation.Analysis performed at CA Labs, LLC 12232 Industriplex,Suite 32 Baton Rouge,LA 70809. Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Pont,1 of Z Crisp Analytical, L.L.C. CA Labs, L.L.C. CA Labs 1929 Old Denton Road 12232 Industriplex,Suite 32 Dedicated to Carrollton, TX 75006 u° Baton Rouge, LA 70809 Quality Phone 972-242-2754 Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 Overview of Project Sample Material Containinq Asbestos Customer Project: 7083 CA Labs Project#: CBR17041412Amend Sample# Layer Analysts Physical Description of Asbestos type/ # Subsample calibrated visual List of Affected Building estimate percent Material Types No Asbestos Detected. 1 Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 LDEQ Glossary of abbreviations(non-asbestos fibers and non-fibrous minerals): ca -carbonate pe-perlite fg-fiberglass pa-palygorskite(clay) gypsum-gypsum qu-quartz mw-mineral wool bi-binder wo-wollastinite or-organic to-talc ma-matrix sy-synthetic mi-mica ce-cellulose ve-vermiculite br-brucite of-other ka-kaolin(clay) This report relates to the items tested.This report is not to be used by the customer to claim product certification,approval or endorsement by NVLAP,NIST,AIHA LAP,LLC,or any other agency of the federal government.This report may not be reproduced except in full without written permission from CA Labs.These results are submitted pursuant to CA Labs'current terms and sale,condition of sale,including the company's standard warranty and limitations of liability provisions and no responsibility or liability is assumed for the manner in which the results are used or interpreted.Unless notified in writing to return the samples covered by this report,CA Labs will store the samples for a period of ninety(90)days before discarding.A shipping or handling fee may be assessed for the return of any samples. Pond 0nfQ ICrisp Analytical, L.L.C. CA Labs, L.L.C. CA Labs 1929 Old Denton Road12232 Industriplex, Suite 32 Dedicated to Carrollton, TX 75006 — / Baton Rouge, LA 70809 I Quality Phone 972-242-2754 Phone 225-751-5632 Fax 972-242-2798 Fax 225-751-5634 I Polarized Light Asbestiform Materials Characterization I Customer Info: Attn: Brad Kelsay Customer Project: CA Labs Project#: Kelsay Environmental CBR17041412Amend 833 SE Main St. Ste 410 7083.00 I Portland,OR 97214 Date: 4/11/2017 Turnaround Time: 24 hr Samples Received: 4/7/2017 Phone# 503-705-0514 Date Of Sampling: Fax# Purchase Order#: Sample# Com Layer Analysts Physical Description of Homo- Asbestos type/ Non-asbestos fiber Non-fibrous type ment # Subsample geneo calibrated visual type/percent /percent us estimate percent I (Y/N) Various Black Felt and Tar 5%fg I7083.00-40 10 1 Layers N None Detected 10%ce 85%qu, bi Silver Surfaced White and i7083.00-41 10 1 Black Wrap N None Detected 10%fg 90%qu, ma, bi 2 Black Tar Y None Detected 100%qu, bi IVarious Black Felt and Tar 5%fg 3 Layers N None Detected 10%ce 85%qu, bi IVarious Black Felt and Tar 5%fg 7083.00-42 10 1 Layers N None Detected 10%ce 85%qu, bi IVarious Black Felt and Tar 5%fg 7083.00-43 10 1 Layers N None Detected 10%ce 85%qu, bi I Baton Rouge NVLAP Lab Code 200772-0 TEM/PLM TDH 30-0370 I LDEQ Analysis Method:Interim(40CFR Part 763 Appendix E to Subpart E)/Improved(EPA-600/R-93/116) Preparation Method:HCL acid washing for carbonate based samples,chemical reduction for organically bound components,oil immersion for identification of asbestos types by dispersion attaining/becke line method. I ca -carbonate mi-mica gypsum-gypsum ve-vermiculite fg-fiberglass mw-mineral wool ose br-ce-cellulose bi-binder of-other wo-wollastinite ka-kaolin(clay) or-organic pe-perlite to-talc pa-palygorskite(clay) Approved Signatories: ma-matrix qu-quartz sy-synthetic Derek Fuselier Senior Analyst Laboratory Director I Analyst Alicia Stretz Chris Williams 1.Fire Damage significant fiber damage-reported percentages reflect unaltered fibers 6.Anthophyllite in association with Fibrous Talc 2.Fire Damage no significant fiber damages effecting fibrous percentages 7.Contamination suspected from other building materials 3.Actinolite in association with Vermiculite 6.Favorable scenario for water separation on vermiculite for possible analysis by another method 4.Layer not analyzed-attached to previous positive layer and contamination is suspected 9.v 1%Result point counted positive 5.Not enough sample to analyze 10.TEM analysis suggested I Pwnc 3 of'2 111 //J// Wy'East Environmental Sciences, Inc. 111 2/22/17 Kelsay Environmental Consulting 3693 SE Francis ST Portland, ,OR 97202 Re: 7083.00 ' Dear Kelsay Environmental Consulting Enclosed are the results of analysis for samples received by the laboraory on 2/21/2017 ' The results related only to the samples included in this report. The project was assigned a report number of 87210 ' If you have any questions concerning this report, please feel free to contact us. Sincerely, ' CY Chan QA Officer I I 1 ' 2415 SE 11th Ave., Portland, OR 97214 Phone(503)231-9320 FAX(503)231-9344 Pg. 1 of 3. / I z �' ' ""�' W 'East Environmental Sciences, Inc. I Laboratory Report Kelsay Environmental Consulting I 3693 SE Francis ST Portland, ,OR 97202 Project Name: Fowler Middle School 1 Project Location: Fowler Middle School Project Number: 7083 Report Number: 87210 Date Sampled: Report Date: 2/23/17 Date received: 2/21/17I AOAC 974.02 I Analyte: Total Lead (Pb) in paint chips quantitation by FLAA Field ID Lab ID Result Detection Limit mg/Kg(ppm) mg/Kg(ppm) I 1001-White-Bottom Theatre L4935 788 234 1002-Green-Science Storage/Window L4936 2890 194 1003-White-Wood Shop L4937 890 232 I 1004-Cream-Nurse L4938 265 202 I I I Quality Control Report: Lead(Pb) Measured Expected I Conc. Concentration Recovery Lower PB1702221 (mg/L) (mg/L) (%) Limit Upper Limit ICV 5.1 5.0 102% 80% 120% PASS I Prep Blank 0.1 0.0 -- 0.5 mg/L -- PASS LCS 2.5 2.2 113% 70% 130% PASS QC Blank 0.0 0.0 -- 0.5 mg/L -- PASS I QC Check 5.0 5.0 101% 80% 120% PASS QC Blank 0.0 0.0 -- 0.5 mg/L -- PASS QC Check 5.1 5.0 102% 80% 120% PASS I Calibration R2: 0.9999 (Lower Limit: 0.990) PASS I I I Phone:503-231-9320 I 2415 SE 11th Ave. Portland,OR 97214 Pg. 2 of 3. Fax 503-231-9344 N Ma 11111 11111 MI — 11111 N 1 1 MN 1 N EN M 1 MO = M jr �I //// 8 / 2 S � ,, ._ ;t. �,.:y / CHAIN OF CUSTODY Report Number • Environmental Sciences, Inc. Phone(503)231-9320 FAX(5o3)231 9344 2415 SE 11th Ave. Portland Oregon 97214 Company -�, Phone ' Kelsay Environmental 503-705-0514 Comments Project# FAX Send results to: > , �� = r kgrohrer2@gmai1 . com Project Name. Purchase Order# q)w\er M I J j J_oc't o w Q �-bradkelsay@comcast,net Site JIG �4 Report Attention Collected By x x U n ,t a��►o i'k-. keg e c#Mail.(0,111 •�i Kevin Rohrer Kevin Rohrer o C7 m m o a V -Samples: T rnaround Inv ± 2 Z N r-- CO Temperature t`jy On Ice? Yes(I N� 1 "2 egu ,. a lar 0 3-5 Business Days pa_ as sj H H F— 4C Q d Sampling Sampling § Z Z w w W AnalysisnEsRequested LAB ID Field ID Date Time Matrix Container volume r. lAa'S tool --Wolf Rbilorii A P;,f l ' A • L 3c01Ot 2 -rut- e'r`aler sl ll ►a/+gij 1 ioD34]](A*4 -wool dtt 1--k-cli _1oo1(- (ram -,�u(c . ` _, _ . L --,7n bb L 4 _ • Afliiiiaf n Date Time Reli "shed by/A. ! /� Da Time Received by \/r\- 4 f ,n lv 2. ?i 1- ltz.4 �iJ1��� 2/-t hi ( 2 '1 ', '] Att-iliat�on Date Time Relinquished by Affiliatioh Dae Time Received by L .. , Page of Purchase Order No.: 'Client Job No.: Lab Use Project No.: Client No: Turnaround , ... Only Date Logged In: Logged In By: Request Standard' Yes No x If'No,'No.of Business Days: Rush .. - Name: Brad Kelsay Sample' I,. -. Information u Regulatory a Company: Kelsay Environmental Drinking System ID No.: Address: 3693 SE Francis St. Water DOH Source No.: Report City,State,Zip: Portland Ore:on 97202 Sample Only Multiple Sources Nos.: Results Phone: 503-705-0514 Fax: ( ) Sample Purpose: A ri B o Other [1 To - , Call with Verbal Results: Preservation: Matrix: Container: Email Results To: Unpres H2SO4 WW=Wastewater SW=Surface Water P=Plastic io=comt-Avioporao p,,i Chemistry il'C HCI GW=Groudwater DW=Drinking Water G=Glass Fax Results To: Analysis Key HNO3 NaOHS,Soil/Sludge 0=08 W=Wipe Name: Other Na2SO4 E=Extract X=Other A=Air(filter or tube( Company: SAME AS ABOVE Email: Send Invoice Address: - — - - Analysis Requested To , .o. 4, City,State,Zip: a) t) a cx ,g <0 o ›.• .c Phone: ( ) Fax: ( i re .+7., x 1- Z w 'c tii A, Special Mecury 8O. 0 TOP iel 2 To u Instructions_ L'.' 4.. c Sample - sample Time Wipeo 6 o_v;2 Sample Identification Sample Description Area j Alr- Li Z a- Date Start Stop Volume - FIG-01 I Tartan Floor Brown 03/22/17 'K i —1 . ' . I , ' .) Chain of Relinquished By(Signature'-- Date: '3' el /7 Time: Chain of Received By(Signatur DateC)32.34/7 Time,0 1,- : Custody Relinquished By(Print Name): Relinquished T.: Custody Received By(Print2Na . Relinquished To: Company Name: Method of Shipment: Company Name: Method of Shipment: Chain of Relinquished By(Signature): Date: Time: Chain of Received By(Signature): Date: Time: Custody Relinquished By(Print Name): Relinquished To: Custody Received By(Print Name): Relinquished To: Company Name: Method of Shipment: Company Name: Method of Shipment: ,... Pennsylvania-HQ Pennsylvania-Waynesburg Washington Tennessee 350 Hochberg Road 100 EverGreene Drive,Suite 101 Center for laboratory Services 1000 Heritage Center Boulevard ,.., .,,,,, e 1 1_,EE GROLTP R J Monroeville,PA 15146 Waynesburg,PA 15370 2710 North 20th Avenue Building 1000 '... Pasco,WA 99301 Oak Ridge,TN 37830 L,1 ( 1%1 Vh144 4 4( 11 NMI', i 41 4-1-4= 41,44 724.325.1776 Phone 724.627.7818 Phone 509.545.4989 Phone 412.867.9864 Phone 724.733.1799 Fax 724.627.2018 Fax 509.544.6010 Fax Mill Ell Ell 111111 IIIII NMI 11101 1E11 MN MIN EN MINI O1111 NM MINI MINI Ell 111111 11111 NM M ME OM M � r RJ LEE GROUP RJ Lee Group,Inc. 350 Hochberg Road,Monroeville,PA 15146 Tel:(724)325-1776 I Fax:(724)733-1799 LABORATORY REPORT Kelsay Environmental 833 SE Main Street RJ Lee Group Job No.:PA240320170006 Suite 410 Samples Received:March 24,2017 Portland,OR 97214 Report Date:March 31,2017 Client Project:N/A Attn: Brad Kelsay Purchase Order No.:N/A Phone: 503-705-0514 Prep/Analysis:EPA 1311(TCLP)/EPA 7470A-PA Email: bradkelsay@comcast.net Sample Minimum Maximum Sampling Preparation/ Concentration Analysis Client Sample ID RJ Lee Group ID Date Analysis Analyte Matrix Concentration Reporting Limit of Contaminants Date Total mg/L(PPM) mg/L(PPM) (40CFR261.24) HG-01 PA240320170006-001 03/22/2017 EPA 1311(TCLP)/EPA 7470A Mercury Solid 3.18 0.200 0.2 mg/L 03/31/2017 — Analyst Comments: Report Qualifiers(Q): T=Extraction temperature exceeds method requirements E:Value above highest calibration standard H:Holding times for preparation or analysis exceeded J:Value below lowest calibration standard but above MDL(Method Detection Limit) B:Analyte detected in the associated Method Blank P:PA-DEP Accredited(PA DEP Lab ID 02-00396,NELAP) L:LCS(Laboratory Control Standard)/SRM(Standard Reference Material)recovery S:Spike Recovery outside accepted limits N:NY ELAP Accredited(NY ELAP Lab Code 10884) outside accepted recovery limits R:RPD(relative percent difference)outside accepted limits C:CA ELAP Accredited(CA ELAP Certificate 1970) NP:Not Provided D:RL(reporting limit verification)outside accepted limits — :Test(analyte-matrix-preparation-analysis)is performed under RJLG's General Quality System requirements and is not part to any of the scopes of accredidations listed above These results are submitted pursuant to RI Lee Group's current terms and conditions of sale,including the company's standard warranty and limitation of liability provisions.No responsibility or liability is assumed for the manner in which the results are used or interpreted, Unless notified in writing to return the samples covered by this report,RJ Lee Group will store the samples for a period of thirty(30)days before discarding.A shipping and handling fee will be assessed for the return of any samples. This laboratory operates in accord with ISO 17025:2005 guidelines,and holds a limited scope of accreditations under different accrediting agencies;refer to http://www.rjlg.com/about-us/accreditations/for more information and current status. This report may not be used to claim product endorsement by any laboratory accrediting agency.The results contained in this report relate only to the items tested or to the sample(s)as received by the laboratory.Any reproduction of this document must be in full for the report to be valid. Unless otherwise noted(either in the comments section of the report and/or with the appropiate qualifiers under the report qualifiers(Q)column)the following apply:(a)Samples were received in good condition,(b)All QC samples are within acceptable established limits,(c)All samples designated as NELAP meet the requirements of the NELAC standard;if not applicable qualifiers will be used to designate the non-compliance and(d)Results have not been blank corrected.Quality Control data is available upon request. Philip Grindle Page l of l Laboratory Supervisor